Meaningful Use Stage 3 (MU3) Objective 4

1. Introduction 

• Purpose: This detailed guide outlines the steps required to obtain credit for Objective 4: Computerized Provider Order Entry (CPOE) under the Meaningful Use Stage 3 (MU3) framework. 

• Key Features: Electronic prescribing, laboratory orders, diagnostic imaging orders, and compliance with reporting requirements. 

2. MU3 Objective 4: Computerized Provider Order Entry (CPOE) 

Overview 

Objective 4 focuses on enhancing efficiency and accuracy in healthcare by utilizing electronic systems for order entry. There are three measures to meet this objective: 

1. Medication Orders 

2. Laboratory Orders 

3. Diagnostic Imaging Orders 

3. Measure 1: Medication Orders 

Requirements 

• Submit more than 60% of medication orders electronically during the reporting period. 

Steps to Submit Medication Orders Electronically 

1. Open an Office Visit:  

• Navigate to the Prescription Section. 

2. Add a Medication:  

• Click New to search the medication database OR 

• Select a medication from My Drug List. 

3. Enter Prescription Details:  

• Fill in necessary fields:  

• SIG (Directions for Use) 

• Quantity 

• Qualifier (if applicable) 

4. Send the Prescription:  

• Check the box next to the added medication. 

• Click Send eRx. 

• Confirm the submission in the pop-up window by clicking Send eRx again. 

4. Measure 2: Laboratory Orders 

Requirements 

• 60% of laboratory orders must be sent and checked in electronically during the reporting period. 

Steps to Submit Laboratory Orders Electronically 

1. Open an Office Visit:  

• Go to the Lab/Imaging/Letter Order Section. 

2. Create a New Lab Order:  

• Click New Lab Order. 

• The Lab Order Editor will open. 

3. Fill Out Lab Order Details:  

• Select the Laboratory Company and the specific Tests. 

• (Optional) Add a LOINC Code:  

• Click under the LOINC Column. 

• A search box will appear—search by code or name. 

• Double-click the appropriate LOINC code to select it. 

4. Save and Send the Order:  

• Click Save after completing the form. 

• Ensure all details are correct, then click Send eOrder. 

Checking In Lab Results 

• When lab results are received:  

• They will appear in the Inbox. 

• Review the results and check them in to complete the process. 

5. Measure 3: Diagnostic Imaging Orders 

Requirements 

• At least 60% of diagnostic imaging orders must be created using the EHR during the reporting period. 

Steps to Submit Diagnostic Imaging Orders Electronically 

1. Open an Office Visit:  

• Go to the Current Visit Tab. 

• Navigate to the Lab/Imaging/Letter Order Section. 

2. Create a New Imaging Order:  

• Click New Imaging Order. 

• The Imaging Order Editor will open. 

3. Fill Out Imaging Order Details:  

• Complete required fields:  

• Ordered By 

• Company 

• Bill Type 

• Under Select by Category:  

• Click the dropdown menu. 

• Choose a category from the MU2 Compatible Section. 

4. Select the Imaging Test:  

• A list of tests will appear based on the selected category. 

• Choose the relevant test for the patient. 

5. Save and Print the Order:  

• Click Save. 

• Click Print Order:  

• A new tab will open in iClinic with the imaging order. 

• Click Print to generate a PDF. 

• In the browser, click the Printer Icon to print the order. 

Special Notes 

• Interface Requirements:  

• If no electronic interface exists with the imaging center, the printed order can be given to the patient. 

6. Troubleshooting Tips 

• Prescription Sending Errors: 

• Ensure all required fields (e.g., SIG, Quantity) are filled. 

• Verify the patient’s information is up-to-date. 

• If the issue persists, log out and log back into the system. 

• Lab Order Issues: 

• Confirm the correct laboratory company is selected. 

• Double-check the LOINC code if applicable. 

• Refresh the system if new tests aren’t appearing. 

• Imaging Order Printing Problems: 

• Ensure your browser’s pop-up blocker is disabled. 

• Check the printer connection and browser settings. 

• If the print preview doesn’t appear, refresh the page. 

7. Support Guidelines 

• In-App Support: Utilize the help feature within iClinic for immediate assistance. 

• Compliance Officer: Contact your organization’s compliance officer for regulatory questions. 

• Technical Support: Reach out to IT support for technical issues related to electronic prescribing, lab orders, or imaging orders. 

Thank you for following the MU3 compliance process. This guide ensures you meet regulatory standards while promoting efficiency and accuracy in patient care.